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NAVY MEDICINE 

World Class Care. ., Anytime, Ajiywhere 



Issue 2 
January 18, 2008 

Inside this Issue: 



Dental Tech: The Crowning Edge 
of Technology 




Cruise Officials Recognize Reagan, 2 
HS-4 for Med Evacuation 



NDSL San Diego Employee Ends 
51-Year Navy Career 



The Three R's for the New Year 



Sailors Save Civilian's Life 



Items of Interest: 



Become an active patient. Many peo- 
ple are somewhat shy and sometimes 
overwhelmed when it comes to dealing 
with their own personal medical issues. 
By becoming a more active and knowl 
edgeable patient (asking questions, 
keeping a list of medicines, etc.), a per- 
son will have an easier time communica- 
tion with a doctor and be more at ease 
with coping with medical issues. So 
what are the steps to becoming an more 
active patient: 
1 . Ask questions if you have doubts or 

(concerns. 
2. Keep and bring a list of ALL the 
medicines you take. 

3. Get the results of any test or proce- 
dure. 

4. Talk to your doctor about which hos- 
pital is best for your health needs. 

I 5. Make sure you understand what will 
I happen if you need surgery and what to 

expect after you have your surgery. 

For more information, visit http:// 

www.ahrq.gov/consumer/ 



4 



I 



Navy and Marine 
Corps Medical News 

A Public Affairs Publication of the Bureau of Medicine and Surgery 

Navy l\/ledicine Learns Under Fire 



By Marine 2nd Lt. Tyson Alexander 
and 2nd Lt. Sarah Lane, MATSG-21; 
and Rod Duren, Naval Hospital Pen- 
sacola, Fla. Public Affairs 

PENSACOLA, Fla. - Marines 
and Navy servicemen are brothers- 
and sisters-in-arms and together 
defend America. This ideal has cre- 
ated the Navy- Marine Corps team 
that has been successful in opera- 
tions throughout history. 

Part of this success stems from 
the ongoing evolution and increased 
efficiency of the team, especially in 
the field of medicine. 

The Navy-Marine Corps team 
works together to save the lives of 
Sailors, Marines, and civilians in- 
jured or wounded from combat or 
while on humanitarian missions. 

Practice is the key to successful 
execution, according to Marine 
Capt. Dennis Wait, a CH-46 helicop- 
ter pilot assigned to Whiting Field 



Naval Air Station Whiting Field in 
Milton, Fla. 

Before deploying to Iraq, Wait's 
squadron spent many hours prepar- 
ing for combat. At Camp Lejeune, 
N.C., as part of training, his squad- 
ron simulated casualty missions. 

Once on the ground, during the 
training, the corpsmen quickly 
loaded the "wounded." As the heli- 
copter took off the corpsmen prac- 
ticed inserting IVs into each other 
as part of the training. 

According to Wait, "The corps- 
men would want us to maneuver 
the way we would normally maneu- 
ver, while they are in the back giv- 
ing treatment and training." 

Corpsmen, however, are not the 
only ones being trained to treat to- 
day's battlefield wounds. With the 
fluidity of the battlefield, every per- 
son involved needs to be trained on 



(Continued on page 3) 




L 




KABUL, Afghanistan - U.S. Navy Lt. Cmdr. Frank Grassi, right, assigned to the Combined 
Security Transition Command-Afghanistan checl<s on a patient three days after an Afghan doc- 
tor performed a Pericadio Centesis procedure on her Jan. 3. It was the first time a pericardio 
centesis had ever been done at the National Military Hospital, and it saved the 15-year old pa- 
tients life. U.S. Navy photo by Mass Communication Specialist 1st Class David M. Votroubek 



Dental Tech: The Crowning Edge of Technology 



By Cpl. Mlkaela M. Bravo-Cullen, 
2nd Marine Logistics Group 

MARI NE CORPS BASE CAMP 
LEJEUNE, N.C. - Searing pain con- 
stantly rips through your mouth, 
shooting bullets through your head. 
Throbbing, swollen gums drive you 
to starvation, and chills rage 
through your body every time you 
take a drink of water, all because of 
one broken tooth. 

Second Dental Battalion, 2nd 
Marine Logistics Group, can assist 
Marines and Sailors who may ex- 
perience these effects by conduct- 
ing ceramic restorations or even a 
crowning to relieve the pain and 
restore the tooth. 

Second Dental Battalion, works 
hard to maintain the most updated 
and modern dental equipment 
available, such as the Computer 
Assisted Design, Computer Assisted 
Milling dental restoration unit, to 
better serve the Marines and Sailors 



of Camp Lejeune. 

For the past year, 2nd Dental 
Battalion has been using the CAD- 
CAM, which allows dentists to pro- 
duce crowns and ceramic restora- 
tions of greater quality at a faster 
rate. 

According to Navy Captain Ken 
S. Gore, the prosthodontic com- 
mand consultant, 2nd Dental Bat- 
talion, the CADCAM gives 2nd Den- 
tal Battalion the ability to produce 
crowns and ceramic restoration in 
only hours, which in the past took 
anywhere from three to six weeks. 

Gore also said that dental stud- 
ies show that crowns made with 
this machine will last 10-15 years, 
compared to the old fillings lasting 
only one year. 

"Let's just pretend a Marine has 
a filling in his tooth and he bites 
down on a piece of food and it 
breaks the front half of the tooth 
off," Gore explained as he began to 




MARI NE CORPS BASE CAMP LEJ EUNE, 
N.C. - Navy Lt. Corey Sheppard, a general 
dentist with 2nd Dental Battalion, 2nd Ma- 
rine Logistics Group, takes an optical im- 
pression of a Marines tooth and designs the 
missing part using the Computer Assisted 
Design, Computer Assisted Milling technol- 
ogy J an. 9. Second Dental Battalion, 2nd 
Marine Logistics Group has been using this 
technology for the past year to better serve 
the Marines and Sailors of Camp Lejeune. 
U.S. Marine Corps photo by Cpl. Mikaela M. 
Bravo-Cullen 



(Continued on page 4) 



Cruise Officials Recognize Reagan, HS-4 for Med Evacuation 



By Chief Mass Communication Specialist (SW/ AW) 
Donnie Ryan and Mass Communication Specialist 2nd 
Class (AW) Christopher Blachly, USS Ronald Reagan 
Public Affairs 

SAN Dl EGO - Princess Cruises honored the crew of 
USS Ronald Reagan (CVN 76) and Helicopter Anti- 
Subnnarine Warfare Squadron (HS) 4 during a press 
conference and recognition ceremony Jan. 6 aboard the 
cruise ship Dawn Princess. 

According to Princess Cruise officials, the ceremony 
was held to bring together the officers and crew from 
Ronald Reagan, the Dawn Princess and U.S. Coast 
Guard officials who played major roles in the recent 
successful medical evacuation of a 14-year-old Laura 
Montero who was suffering from a ruptured appendix 
while on board the cruise ship. 

Montero, who attended the press conference and 
recognition ceremony with her mother Trudy Lafield, 
was traveling with her family aboard the 2,000 passen- 
ger cruise ship when she became ill the evening of Dec. 
14. 

Captain Marco Fortezze of the Dawn Princess issued 
a distress call to the U.S. Coast Guard who then con- 
tacted Ronald Reagan, the closet ship in the vicinity 
with an on board surgical facility. 

"I am delighted that Laura is here with today with 
her mother and that she looks so good," Fortezze told 
the group of attendees. 

"It's very exciting for me to gather with everyone," 
added Fortezze, noting this was the first time everyone 



involved in the medical evacuation was able to meet. 

Ronald Reagan was operating approximately 550 miles 
away from the Dawn Princess at the time of the distress 
call, and both ships traveled throughout the night until 
they were within 175 miles for the medical evacuation. 

"We communicated many times over the course of the 
evening [Dec. 14] and it took approximately six hours be- 
fore our two ships were within range so that a helicopter 
could be launched," said Fortezze. 

In a dramatic medical evacuation Dec. 15 that drew 
national media attention, an HH-60H helicopter from HS-4 
was dispatched for the mission. Because the helicopter 
could not land aboard the Dawn Princess, a basket was 
lowered and the patient was lifted onto the helicopter. 
Montero was then transported to Ronald Reagan where 
life-saving emergency surgery was performed. 

"Some people have stated that they are amazed and 
pleased that we would divert an aircraft carrier to rescues 
a single 14-year-old girl," said Capt. Terry B. Kraft, USS 
Ronald Reagan Commanding Officer. "What I would submit 
is that these kinds of things happen all the time and all 
over the world in our Navy. The spectrum of operations 
we're ready to execute range from disaster relief to full 
combat operations and everything in between." 

"We were all pulling for Laura," added Kraft. "And al- 
though the Dawn Princess is a beautiful ship, we very 
much enjoyed having Laura and her mom as our ship- 
mates for a few days." 



NDSL San Diego Employee Ends 51 -Year Navy Career 



By Bill Sendt, Navy Drug Screening 
Laboratory Public Affairs 

SAN Dl EGO - J on Winter's Dec. 
21 retirement cerennony at the 
Navy Drug Screening Lab (NDSL) 
recognized 21 years of civilian ser- 
vice to the Navy. It also repre- 
sented the end of a combined 51- 
year Navy career. Winter retired 
21 years ago from the Navy as 
Master Chief Hospital Corpsman. 

Winter was awarded the Merito- 
rious Civilian Service Award during 
his December retirement ceremony 
for his continued outstanding ser- 
vice to the Navy. He said his retire- 
ment plans will not allow boredom, 
especially with grandkids, future 
fishing trips and more importantly, 
"the to-do list my wife has put to- 
gether for me." 

The retired master chief's active 
duty Navy career began when he 
entered active duty in 1956. His 

Under Fire continued... 

(Continued from page 1) 

life-saving techniques. 

Capt. Kevin Berry, commanding officer of Pensacola 
Naval Hospital recalled this taking place when he served 
as medical officer with the Marines' 1st Light Armor In- 
fantry Battalion in Desert Shield/Desert Storm. 

In 1990-91, he trained both the corpsmen and Ma- 
rines on how to "put in IVs" and provide minimal medical 
care through a buddy-system, especially when a corps- 
man wasn't immediately available. 

"I didn't know what to call it," said Berry, "but every 
single Marine with that battalion, and it must have been 
a thousand, learned how to put in IVs." 

Berry said they also learned how to do the most rudi- 
mentary battle dressings to provide medical assistance 
to their buddy. 

Still, battle dressing and stabilization of the wounded 
Marine, through buddy-aid and corpsman-aid, was only 
the start of the life-saving process. Medical personnel 
and casualty evacuation (CASEVAC) platforms had to be 
ready at a moment's notice and appropriately located in 
order to provide expedient treatment. 

For follow-up treatment, the Navy-Marine Corps 
team kept doctors a few miles from the front lines work- 
ing out of the back of Humvees or fixed-site medical- 
surgical units. 

Lt. Col. James Kennedy, executive officer of Helicop- 
ter Training Squadron 18 "Vigilant Eagles" at Whiting 
Field, flew these missions while his squadron. Marine 
Medium Helicopter Squadron (HMM) 161, was operating 
in Iraq. 



active duty assignments include 
Oak Noll Hospital, and Naval Hospi- 
tal, San Diego. In 1961, he was 
aboard the USNS Edwin D. Patrick 
while being transferred to his first 
overseas assignment when he met 
his future wife, Jean. They were 
married at the Naval Hospital Guam 
after a short romance. Other over- 
seas assignments included a tour in 
Vietnam assigned to the Station 
Hospital NSA Da Nang and the 1'^ 
Medical Battalion, 1^^ Marine Divi- 
sion. Winter's sea duty assign- 
ments include USS Bon Homme 
Richard (CVA 31), USS Dixon (AS 
37), and USS Constellation (CVA 
64). 

At his last duty station. Landing 
Force Training Command Pacific, 
Winter experienced what he told a 
co-worker was his most satisfying 
accomplishment in his military ca- 
reer. While teaching medical sup- 
port of amphibious assaults to the 



Marines it was "most gratifying to 
see our students finally see the big 
picture and grab hold of the con- 
cepts" that ultimately saved the 
lives of our troops. 

After retiring from active duty 
and running out of projects at 
home. Winter applied for a position 
as a medical technician at NDSL. 
Since then, he has held a variety of 
technical, quality assurance and 
supervisory positions. 

With family, friends, and staff 
members present for the Dec. 21 
awards ceremony and farewell pot- 
luck, Cmdr. Kevin Klette, NDSL 
commanding officer, spoke about 
Winter's achievements. 

"It's a rare occasion to be able 
to honor an individual who has 
given so much time in service to his 
country," Klette said. "It has been 



(Continued on page 5) 



"While I saw some really terrible images during my 
time in Iraq standing the CASEVAC mission, I have never 
done anything more rewarding in my life," Kennedy ex- 
plained. "I know there are men alive today because of the 
work we did while deployed there. They know that they 
somehow arrived by airlift, but they'll never know that it 
was Marines and corpsmen of HMM-161 who landed in 
the middle of a firefight to pull them out of there." 

Marines depend on Navy medicine personnel and re- 
sources "to save their lives," said Capt. Paula McClure, 
executive officer of the Naval Hospital and former com- 
manding officer of Bravo Surgical Company, Combat Lo- 
gistics Battalion 2, in the Al Anbar Province of Iraq. 

Berry and McClure, two Navy officers, offer the same 
description of what it was like serving with the Marines in 
a combat environment -- "surreal." 

"But, the surreal became the routine," said McClure. 
"It was the most threatening time of my life, but I 
learned more in those eight months than the rest of my 
life." 

As the field of medicine continues to evolving and 
increases its efficiency of the team, so will the future of 
Armed Forces medicine. 

One evolution will be the relocation of the Tactical 
Combat Casualty Care (TCCC) course. It will be relocated 
to San Antonio, Texas, where all of the armed services 
military medical personnel will learn the same techniques 
and nomenclature about combat trauma care guidelines, 
good medical care and small-unit medical-specific tactics. 
In addition, the TCCC advisory board is tasked with bring- 



Issue? 
Januaryj 



Page 4 



The Three R's for the New Year 



By Douglas H Stutz, Naval Hospital 
Bremerton Public Affairs Office 

NAVAL HOSPTIAL BREMER- 
TON - Resolve and Resolute about 
making a Resolution. These are the 
three R's a person needs to follow 
in the time-worn and sometimes 
iffy evolution of undertaking a New 
Year's Resolution. 

Traditionally, embarking on the 
New Year, be it following the full 
slate of bowl games, sharing a 
toast, or simply grateful not having 
the mid-watch if on duty, allows 
many the perfect opportunity to 
make a concentrated promise and 
determined pledge to engage in 
some type of personal improve- 
ment. 

Those initial good intentions do 
have a way of falling away, tailing 
off, and being shoved aside. Regu- 
lar base gym patrons know that the 
initial weeks of January account for 
a sudden influx of more people 
working out, only to have the num- 
bers gradually reduce back to the 
previous totals. Work, family, duty, 
and responsibilities all combine to 
compete with time-management for 
sticking to even the most common 
resolutions; getting in better 
(physical) shape and/or losing 
weight. Experts state one of the 
best methods to keep to any reso- 
lution is to not go it alone, and Na- 

Dental continued... 

(Continued from page 2) 



describe the CADCAM technology. 

"Using the CADCAM allows dentists to take optical im- 
pressions of the Marine's remaining tooth and designs the 
missing part," Gore said. "The created information is then 
sent to a milling machine where a ceramic restoration is 
made. The newly shaped block fits inside the remaining 
tooth and then we bond them together." 

"The machine also does crowns," Gore added. 
"Sometimes the tooth is so badly broken down either 
through decay or fractures that we're not just replacing a 
segment of it, we're replacing the whole thing." 

Gore also explains that the crowning process is 
slightly more difficult than a ceramic restoration, but it 
can be better accomplished with this technology. 

"The main reason we purchased the CADCAM is that 
we've seen a significant amount of broken teeth," Gore 
explained. "When I was in Al Asad, Iraq for about six 



val Hospital Bremerton is there to 
assist all eligible beneficiaries with 
their resolution needs. 

"Instead of going it alone, peo- 
ple can achieve their health goals 
by teaming up with our experts and 
people just like them who also want 
to live happier, healthier lives," said 
Janet Mano, Naval Hospital Bremer- 
ton (NHB) Health Promotions Divi- 
sion. 

According to Mano, there are 
courses available at NHB to support 
people, such as Therapeutic Life- 
style Change (TLC) 100 class, 
'Setting the Foundation.' In this 
course, people can set long and 
short term goals, identify and over- 
come barriers, and change negative 
self talk into positives. The course 
convenes January 23 from 4:30 
p.m. to 6:30 p.m., February 5, and 
March 1, from 1 p.m. to 3p.m. "The 
basis of all our course are on being 
interactive," explained Mano. "The 
courses focus on healthy habits and 
how to strive for a long term be- 
havioral change." 

Mano attests there's no pres- 
sure, no strict regimen to follow. 
"We're here to help anyone who is 
interested to get started," she said. 
"One question that anyone can ask 
who is making a resolution, is 'what 
is most important' to them?" From 
knowing what is important as a 
baseline, achievable goals can then 



be set, along with brainstorming for 
skill building methods, and diverse 
needs like how to plan activities 
towards goals and how to handle 
stress. It's not rocket science, Mano 
admits, but by having a person ar- 
ticulate exactly what their resolu- 
tion goals are, they then tend to be 
more achievable. 

"We all need the skills and confi- 
dence to change existing habits," 
Mano said. "All of us at times do 
not give ourselves enough credit for 
making even small changes. There 
are small habits that have big re- 
wards, such as simply drinking wa- 
ter instead of soda, being more ac- 
tive by taking the stairs instead of 
the elevator, and actually thinking 
about our portions of food before a 
meal. It's all of our small positive 
habits that can all add up to helping 
to reach a bigger goal." 

Hospital Corpsman (HM) 3^^^ 
Class Jonathon Solonar, of NHB 
Health Education, has set his sights 
on a lofty resolution goal for 2008. 
"I plan on training for the Marine 
Corps Marathon," said the Chinook, 
Montana native. "A good friend of 
mine ran it before and said that 
when she ran by the I wo J ima Me- 
morial, she was moved to tears. 
Another buddy is going to join me. 



(Continued on page 5) 



months, I saw more broken teeth than I have in perhaps 
my entire career. I attribute it to stress. We tend to 
clench and grind our teeth when we are stressed. We are 
hoping that by allowing us to get the teeth restored, 
we'll see a decrease in that kind of event." 

Along with eliminating potential problems that could 
occur, this new technology removes the hassle of going 
back to the dentist numerous times for one crowning 
process. 

"I have had three silver fillings on the same tooth in 
the last four years," said Cpl. Trever A. Wood, a Marine 
with 2nd Tank Battalion, 2nd Marine Division. "I had to 
go back to the dentist several times for each one. The 
crowning process here only took about four hours and 
it's supposed to last ten years, so I'm pretty excited." 

Along with less hassle and a decrease in dental visits, 
the CADCAM shows true promise in allowing the hard 
working personnel of 2nd Dental Battalion to continu- 
ously treat our Marines and Sailors. 




Pages 



Sailors Save Civilian's Life 



By Lance Cpl. Shannon E. McMillan, 
Marine Corps Base Camp Pendleton 

MARI NE CORPS BASE CAMP 
PENDLETON, Calif. - Saving a 
woman's life was not on the menu 
for three hospital corpsman from 
Camp Pendleton while dining at a 
local sushi bar in Vista, Calif., Dec. 
14. 

They planned to have a casual 
dinner out in town. The sudden 
sound of crashing dishes brought 
something else to the table. 

"All we heard was dishes collid- 
ing and a little girl screaming," said 
Hospital Corpsman (HM) 3rd Class 
Margaret R. Reusi, with Company 
B, 1st Medical Battalion, 1st Marine 
Logistics Group. "The little girl was 
trying to pick her mother up off the 
floor." 

Seeing the woman was unre- 
sponsive, the group rushed to her 
side to administer medical atten- 
tion. 

51 -year continued.. 

(Continued from page 3) 



my pleasure to work with Jon not only once but twice - 
first as XO and now as CO. You will be missed." 
Winter responded, "I'll miss the people. It's a blessing 

Three R's continued... 



"We proceeded to the lady, 
checking her vitals and airway," 
Reusi said. "She started to turn 
blue." 

The woman wasn't breathing 
and had no pulse. 

With little time to spare, the 
corpsman started the steps of car- 
diopulmonary resuscitation (CPR). 

"I put her in the shock position 
as HM Vega started compressions 
and HM 3rd Class) Flores checked 
her air ways," Reusi said. "What 
seemed like hours of hard work 
were a few moments of fast acting 
procedures." 

Reusi said the emergency medi- 
cal team arrived after the woman 
began breathing on her own. 

"When the EMTs evaluated her 
medical state, they explained that 
our actions saved her life," said 
Seaman William S. Vega, a corps- 
man with Company B, 1st Medical 
Battalion, 1st MLG. "The ambulance 



would have arrived too late for 
her." 

Vega attributed their success, 
not just to himself and the other 
corpsmen, but to their military 
medical education. 

"We are trained to act in life 
situations, to finish our mission we 
need to know what we're doing," he 
said. 

Vega has experienced high-speed, 
high-anxiety situations first hand 
during combat deployment. He said 
that if an emergency situation 
arises for corpsmen, they react in a 
heartbeat. 

"We have two uniforms, military 
and civilian, but it's not like one 
moment I wake up and say I want 
to be corpsman and another I want 
to be a civilian," Vega said. "I'm the 
same person all the time, and when 
a situation comes up when I'm out 
in town, I'll be ready to help some- 
one in need." 



to be able to work for 51 years with some of the most 
highly motivated, professional people who truly care 
about their shipmates and their country." 



(Continued from page 4) 

As a fleet marine force (FMF) 
enlisted warfare specialist, it's my 
honor to do it." 

Then there are some who are 




NAVY MEDICINE 

World Class Care. . .Anytime, Anywhere 




Bureau of Medicine and Surgery 

2300 E Street NW 
Washington, DC 20372-5300 

Public Affairs Office 

Phone: 202-762-3221 

Fax: 202-762-1705 




following the theory that they sim- 
ply don't need to make any resolu- 
tion. "I don't need a resolution," 
quipped HM3 Wayne Dorman, NHB 
Anesthesia Department. "I'm like a 
Mary Poppins, pretty much perfect." 

Others are feeling that they 
have a hard act to follow. "All my 
goals last year happened," said 
HM3 Krystelle Syster. "I advanced 
in rate, and got selected to the 
Medical Enlisted Commissioning 
Program. This year, I'm due (with 
baby) in J une, and start school at 
Indiana University of Pennsylvania 
in August. It will be a busy year 
even without making any resolution 
goals, but I am going to try and be 
more physically fit." 

NHB has a lineup of Health Pro- 



motion classes to help anyone with 
their health, medical or physical 
goals and resolutions in such areas 
as Diabetes Prevention, Supermar- 
ket Savvy, Healthier Alternatives, 
Healthy at Heart, Medical Appoint- 
ments, Aiming for a Healthy Weight 
and Maintaining the Momentum, 
and more, such as Healthy Shop- 
ping featuring commissary tours 
and cooking demonstrations and 
Baby Basic classes, that give sup- 
port for expectant and new parents. 
For more info, call NHB health Pro- 
motion at 360-475-4541, E-mail at 
healthCcDmed. navv.mil . call TRICARE 
at 1-800-404-4506, or check the 
current schedule on line at 
nh_ bremerton.med.navy.mil. 



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